Mrs Autumn Elizabeth Dittenber, PA-C - Medicare Physician Assistant in Fremont, MI

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Mrs Autumn Elizabeth Dittenber, PA-C is a medicare enrolled "Physician Assistant" in Fremont, Michigan. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Bay-arenac Behavioral Health, Ausable Valley Community Mental Health Services Board, Springfield Urgent Care Pllc and her current practice location is 230 W Oak St, Fremont, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 924-4200.

Mrs Autumn Elizabeth Dittenber is licensed to practice in Michigan (license number 5601007826) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013461581.

Contact Information

Mrs Autumn Elizabeth Dittenber, PA-C
230 W Oak St,
Fremont, MI 49412-1526
(231) 924-4200
Not Available

Map and Direction




Provider's Profile

Full NameMrs Autumn Elizabeth Dittenber
GenderFemale
SpecialityPhysician Assistant
Experience10 Years
Location230 W Oak St, Fremont, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Autumn Elizabeth Dittenber graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1013461581
  • Provider Enumeration Date: 08/12/2016
  • Last Update Date: 05/26/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4486949682
  • Enrollment ID: I20160826002259

Medical Identifiers

Medical identifiers for Mrs Autumn Elizabeth Dittenber such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013461581NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601007826 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mymichigan Medical Center TawasTawas city, MIHospital
Mclaren Bay RegionBay city, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bay-arenac Behavioral Health549670622830
Ausable Valley Community Mental Health Services Board296148561016
Springfield Urgent Care Pllc397186994226

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Autumn Elizabeth Dittenber allows following entities to bill medicare on her behalf.
Entity NameNewaygo County General Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750404927
PECOS PAC ID: 4880503051
Enrollment ID: O20040423001232
Entity NameMetropolitan Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811937519
PECOS PAC ID: 5597651836
Enrollment ID: O20040507000012
Entity NameTraining & Treatment Innovations Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609857978
PECOS PAC ID: 1557323144
Enrollment ID: O20041111000393
Entity NameBay-arenac Behavioral Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154439438
PECOS PAC ID: 5496706228
Enrollment ID: O20050209000187
Entity NameAusable Valley Community Mental Health Services Board
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417011701
PECOS PAC ID: 2961485610
Enrollment ID: O20050421000668
Entity NameBay-arenac Behavioral Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154439438
PECOS PAC ID: 5496706228
Enrollment ID: O20060315000421
Entity NameMemorial Medical Center of West Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972589489
PECOS PAC ID: 3678543659
Enrollment ID: O20071128000647
Entity NameSpringfield Urgent Care PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144747460
PECOS PAC ID: 3971869942
Enrollment ID: O20171107002040
Entity NamePro-health Medical Midland Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558840587
PECOS PAC ID: 5991056525
Enrollment ID: O20180920003223
Entity NameHenry Ford Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184389876
PECOS PAC ID: 6901296110
Enrollment ID: O20211202000908

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Autumn Elizabeth Dittenber is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Autumn Elizabeth Dittenber, PA-C
100 Michigan St Ne, Mc 845,
Grand Rapids, MI 49503-2560

Ph: Not Available		Mrs Autumn Elizabeth Dittenber, PA-C
230 W Oak St,
Fremont, MI 49412-1526

Ph: (231) 924-4200

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.